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Maryland rates for HCPCS 87631

Iadna Respiratry Probe & Rev Trnscr 3-5 Targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.59 / $284.64 / $312.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $99.84 / $146.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.10 / $128.37 / $163.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.05 / $101.46 / $350.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.63 / $171.16 / $246.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.90 / $74.06 / $128.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.91 / $125.91 / $125.91